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Coluccio C, Jacques J, Hritz I, Boskoski I, Abdelrahim M, Bove V, Cunha Neves JA, de Jonge PJF, Dell'Anna G, Esposito G, Facciorusso A, Gincul R, Giuffrida P, Kalapala R, Kapizioni C, Longcroft-Wheaton G, Nagl S, Tziatzios G, Voiosu T, Dray X, Barbieri B, Gralnek IM, Fuccio L. Simulators and training models for diagnostic and therapeutic gastrointestinal endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) Technical and Technology Review. Endoscopy 2025. [PMID: 40185129 DOI: 10.1055/a-2569-7736] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 04/07/2025]
Abstract
Gastrointestinal (GI) endoscopy comprises both diagnostic and therapeutic procedures involving the luminal GI tract as well as the biliary tree, liver, and pancreas. GI endoscopy is challenging to learn, requiring both cognitive (nontechnical) and technical skills, and requires extensive practice to attain proficiency. Simulation-based training has been shown to assist trainees and young endoscopists in acquiring new skills and accelerating the learning curve. Moreover, simulation-based training creates an ideal environment for trainees to initially learn and practice skills while making mistakes with no risk to patients.This review, divided in two parts, offers a comprehensive summary of the different classes of simulators available for GI endoscopic training.In Part I, only mechanical simulators are reported and described. In Part II, animal simulators (ex vivo/in vivo) and virtual reality models are detailed, together with prototypes that are currently not commercially available.
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Affiliation(s)
- Chiara Coluccio
- Gastroenterology and Digestive Endoscopy Unit, Forli-Cesena Hospitals, AUSL Romagna, Forlì Cesena, Italy
| | - Jérémie Jacques
- Department of Hepatogastroenterology, Limoges University Hospital Center, Limoges, France
- Department of Gastroenterology, McGill University Health Center, Montreal, Canada
| | - Istvan Hritz
- Department of Surgery, Transplantation and Gastroenterology, Division of Interventional Gastroenterology, Semmelweis University, Budapest, Hungary
| | - Ivo Boskoski
- Digestive Endoscopy Unit, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy
| | - Mohamed Abdelrahim
- Academic Directorate of Gastroenterology, Royal Hallamshire Hospital, and University of Sheffield, Sheffield, UK
| | - Vincenzo Bove
- Digestive Endoscopy Unit, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy
| | - João A Cunha Neves
- Department of Gastroenterology, Algarve University Hospital Centre, Portimão, Portugal
| | - Pieter J F de Jonge
- Department of Gastroenterology and Hepatology, Erasmus MC University Medical Center Rotterdam, The Netherlands
| | - Giuseppe Dell'Anna
- Gastroenterology and Gastrointestinal Endoscopy Unit, IRCCS San Raffaele Hospital, Milan, Italy
- Gastroenterology and Gastrointestinal Endoscopy Unit, IRCCS Policlinico San Donato, Milan, Italy
| | - Gianluca Esposito
- Medical-Surgical Sciences and Translational Medicine Department, Sant'Andrea Hospital, Sapienza University of Rome, Rome, Italy
| | - Antonio Facciorusso
- Department of Experimental Medicine, Gastroenterology Unit, Università del Salento, Lecce, Italy
| | - Rodica Gincul
- Department of Gastroenterology, Jean Mermoz Private Hospital, Lyon, France
| | - Paolo Giuffrida
- Gastroenterology and Digestive Endoscopy Unit, Forli-Cesena Hospitals, AUSL Romagna, Forlì Cesena, Italy
| | - Rakesh Kalapala
- Bariatric Endoscopy & Center for Artificial Intelligence and Innovation, Asian Institute of Gastroenterology, Hyderabad, India
| | | | | | - Sandra Nagl
- Department of Gastroenterology, University Hospital Augsburg, Germany
| | - Georgios Tziatzios
- Department of Gastroenterology, General Hospital of Nea Ionia "Konstantopoulio-Patision", Athens, Greece
| | - Theodor Voiosu
- Gastroenterology Department Colentina Clinical Hospital/UMF Carol Davila Faculy of Medicine, Bucharest, Romania
| | - Xavier Dray
- Sorbonne University, Centre for Digestive Endoscopy, Saint Antoine Hospital, APHP, Paris, France
| | - Bridget Barbieri
- Senior Project Manager, European Society of Gastrointestinal Endoscopy (ESGE), Munich, Germany
| | - Ian M Gralnek
- Gastroenterology, Emek Medical Center, Afula, Israel
| | - Lorenzo Fuccio
- Department of Medical and Surgical Sciences, University of Bologna, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy
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Kang AJ, Rodrigues T, Patel RV, Keswani RN. Impact of Artificial Intelligence on Gastroenterology Trainee Education. Gastrointest Endosc Clin N Am 2025; 35:457-467. [PMID: 40021241 DOI: 10.1016/j.giec.2024.12.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/03/2025]
Abstract
Artificial intelligence (AI) is transforming gastroenterology, particularly in endoscopy, which has a direct impact on trainees and their education. AI can serve as a valuable resource, providing real-time feedback and aiding in tasks like polyp detection and lesion differentiation, which are challenging for trainees. However, its implementation raises concerns about cognitive overload, overreliance, and even access disparities, which could affect training outcomes. Beyond endoscopy, AI shows promise in clinical management and interpreting diagnostic studies such as motility testing. Thoughtful adoption of AI can optimize training and prepare future trainees for the modern healthcare landscape.
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Affiliation(s)
- Anthony J Kang
- Division of Gastroenterology & Hepatology, Northwestern Feinberg School of Medicine, Chicago, IL, USA
| | - Terrance Rodrigues
- Division of Gastroenterology & Hepatology, Northwestern Feinberg School of Medicine, Chicago, IL, USA
| | - Ronak V Patel
- Division of Gastroenterology & Hepatology, Northwestern Feinberg School of Medicine, Chicago, IL, USA
| | - Rajesh N Keswani
- Division of Gastroenterology & Hepatology, Northwestern Feinberg School of Medicine, Chicago, IL, USA.
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Terry EA, Al Qady A, Dilly CK. The Role of Endoscopy Skills Assessment Tools in Programmatic Assessment. Clin Gastroenterol Hepatol 2025:S1542-3565(25)00151-X. [PMID: 40164226 DOI: 10.1016/j.cgh.2024.12.029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/17/2024] [Revised: 12/10/2024] [Accepted: 12/12/2024] [Indexed: 04/02/2025]
Affiliation(s)
- Elizabeth A Terry
- Division of Gastroenterology and Hepatology, University of Alabama at Birmingham, Birmingham, Alabama
| | - Ahmed Al Qady
- Division of Gastroenterology, Hepatology, and Nutrition, University of Florida, Gainesville, Florida
| | - Christen K Dilly
- Division of Gastroenterology, Hepatology, and Nutrition, Indiana University School of Medicine, Indianapolis, Indiana; Roudebush VA Medical Center, Indianapolis, Indiana
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